| NPI | 1972042711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 176367) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 4450) |
| 104100000X Social Worker (Licence: AK 147615) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2022-05-10 |